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Individual

LAUREN CHANEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
997 W AURORA RD, SAGAMORE HILLS, OH 44067-4602
(330) 468-2904
(330) 468-2905
Mailing address
19552 PURNELL AVE, ROCKY RIVER, OH 44116-2725
(440) 241-2616
(216) 901-2803

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007621
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12713039
CAQH ACCOUNT
OH
Enumeration date
06/18/2014
Last updated
11/24/2015
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